Driving Engagement

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Driving Engagement

• What works in health coaching?

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Agenda

• Coaching models in healthcare what is most
  engaging?
• Intellectual foundation of coach competencies
  protocols
• Case study
• Executives first
• Testimonial of an engaged client
• Language matters
• Other tips

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Coach Training Certification School

• Wellness coach
• Health coach
• Fitness coach
• Laser coach (nurse lines, disease mgt)
• Harvard Medical School CME coaching roadmap for
  physicians
• 1,000 coaches trained per year

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Vision for Coaching Models in HealthcareWhat is
most engaging?

• Healthcare-driven
• Laser coach nurse line, disease management,
  call center lifestyle or health coaching
• Consumer-driven physician referral
• Wellness coach mastery of wellness or
  well-being (physical and mental health)
• Health coach mastery of medical issues
• Fitness coach mastery of a fit lifestyle

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Coaching psychology has intellectual breadth and
depth which engages

• The science of relationships designed to
  optimize health and well-being, founded upon
  evidence-based theories.
• For psychologists coaching is a humanistic
  relationship designed for constructive
  development (facilitating a change cycle on the
  life path)

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Coaching Psychology Theoretical Foundation

• Humanistic theory and self-actualization
• Positive psychology
• Hope psychology
• Cognitive behavioral therapy solution-focused
  therapy
• Transtheoretical model
• Appreciative inquiry
• Self-efficacy social cognitive theory
• Motivational interviewing
• Emotional intelligence
• Relational cultural theory
• Flow Relational flow
• Goal setting theory
• Self-determination theory
• Nonviolent communication
• Adult learning developmental psychology

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Coaching outcomes that clients appreciate

• Coaching partnerships enable
• personal responsibility
• self-awareness
• self-motivation
• self-efficacy
• peak performance
• lasting change
• personal growth

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Coach competencies which engage

• Natural talent
• Core competencies
• Philosophical footing
• Processes
• Doing skills
• Being skills
• Coach training leads to personal transformation
• Coaching is a workout for the brain
• Good vs great coaching conversations
• Therapeutic alliance
• Age and life experience matter

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Case Study - Cincom

• Executives first (one quoted in NY Times article)
• DM for high risk Wellcoaches for low/moderate
  risk
• 100 Incentive in FSAs
• Wellcoaches one hour planning session and 3 x
  30 minute sessions client decides schedule
• Wellcoaches program fee 250 and coaches are paid
  60 (60 per hour)
• Participation 30 DM high risk and 92
  Wellcoaches low/moderate risk

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Why leaders first?

• Personal responsibility to help avert healthcare
  crisis
• Role models who walk the walk
• Cultural permission in the workplace

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Testimonial what an engaged client says

• I want to thank you for helping me improve my
  lifestyle over the past several months.  I want
  to first say that I was somewhat skeptical as I
  entered into the process of the Wellness Coaching
  activity.  I initially signed up to get the
  opportunity of additional funding for my FSA. 
  That being said, I have an entirely different
  view having been involved with you over these
  months.  You have had a very positive impact on
  the success that I have achieved both from a
  physical and emotional health perspective.  I
  have stated to you in the past that motivation
  (or lack thereof) has always been a challenge for
  me when it comes to my personal wellbeing. 

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Testimonial - contd

• I have been challenged by you to continue to
  focus on myself and struggles that I have.  If I
  could summarize it in one work, I would simply
  say ACCOUNTABILITY.   The sessions we have had
  where we have discussed situations and set
  personal goals have been invaluable to me.  One
  thing that has driven me is your motivating
  manner with the many times you have challenged me
  to raise my own personal bar to achieve more. 
• Since we have been meeting I have achieved the
  following
•  

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Testimonial contd

• Lost about 35 pounds. I am not where I want to be
  yet, but certainly almost everyone at Cincom has
  recognized my physical change.
• Committed to get more sleep.  This remains a
  challenge at times due to a busy lifestyle.
• Improved my diet significantly.  I have been able
  to develop a balanced diet while watching my
  overall calorie intake with the goal of
  maintaining an average 1000 calorie deficit per
  day.
• Significantly increased my exercise habits.  This
  along with the balanced diet has obviously led to
  the weight loss.  I take the stairs almost always
  at work up to my office on the 4th floor.   

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Testimonial contd

•     Lastly, our discussions regarding some family
  relationship issues we have had over this period
  (adult children not spouse) have been very
  helpful.  We have made great progress and I have
  been able to not let difficult personal
  relationships be so impactful on my emotional
  wellbeing.
• Once again, I am now a believer in the process
  we have gone through over these months and will
  encourage Cincom to continue with this program
  into the future.

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Language mattersProblem focus or Positive
psychology

• Productivity or energy
• Health risk or well-being
• Avoid disease or perform at peak

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Other tips

• Client not patient
• Client determines what makes them thrive
• Clients vision for well-being moves him/her
  emotionally
• Self-efficacy trumps health behavior guidelines
• Uncover and use strengths to handle challenges
• Match coach developmental level to client level
• Pay coaches at level of other professionals
  personal trainers, dietitians, therapists
• Enable coaches to flourish

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• Margaret Moore coachmeg_at_wellcoaches.com
• www.coach-meg.com
• www.wellcoaches.com
• www.harvardcoaching.org